2015-11-11T17:10:41-06:00 2012-12-31 PRICEWATERHOUSECOOPERS LLP 2001 MARKET ST SUITE 1800 PHILADELPHIA PA 19103 990 2012-01-01 930798039 KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST INC % VP - NATIONAL TAX COMPLIANCE KAIS 5102716611 ONE KAISER PLAZA 15L OAKLAND CA 94612 DEBORAH STOKES 2015-11-10 2673303000 2012 2016-02-25 16:41:14Z X ANDREW R MCCULLOCH ONE KAISER PLAZA 15L OAKLAND CA 94612 3444206752 false X N/A X 1984 OR To provide high-quality, affordable health care services to improve the health of our members and the communities we serve. 15 12 7511 104 6846502 34240 55792 2817773409 2980226987 21487196 21388816 24729746 24579465 2864024591 3026251060 274273 299224 0 0 726642417 775841514 0 0 0 2123400985 2231922859 2850317675 3008063597 13706916 18187463 1228271737 1260245683 1266392539 1206822295 -38120802 53423388 X TO PROVIDE HIGH-QUALITY, AFFORDABLE HEALTH CARE SERVICES TO IMPROVE THE HEALTH OF OUR MEMBERS AND THE COMMUNITIES WE SERVE. false false 2779419858 299224 2956652140 MEMBER HEALTH CARE SERVICES AND MEDICAL TRAINING FOR CARE IMPROVEMENT KAISER FOUNDATION HEALTH PLAN OF NORTHWEST (KFHP OF NORTHWEST) PROVIDES HOSPITAL, MEDICAL, AND SURGICAL CARE, INCLUDING URGENT CARE SERVICES, EXTENDED CARE AND HOME HEALTH CARE, FOR ITS MEMBERS WITHOUT REGARDS TO AGE, SEX, RACE, RELIGION OR NATIONAL ORIGIN OR THE ABILITY TO PAY. KFHP OF NORTHWEST EDUCATES AND TRAINS MEDICAL STUDENTS AND OTHER HEALTH CARE PROFESSIONALS AND PROMOTES SCIENTIFIC AND NURSING EDUCATION IN ORDER TO IMPROVE CARE. ADDITIONAL INFORMATION ABOUT NORTHWEST HEALTH PLAN'S CHARITABLE ACTIVITIES CAN BE FOUND IN SCHEDULE O. 66067209 0 23173233 Medicaid and Other Government Sponsored Programs Northwest Health Plan is committed to improving the way beneficiaries of our Medicaid and other government sponsored programs receive care, not only in our facilities, but also in the communities we serve. In 2012, Northwest Health Plan participated in a number of government programs to support the provision of primary and specialty care to residents of the states of Oregon and Washington. At the end of 2012, over 11,000 individuals were receiving the benefits of full membership in KFHP's managed care programs in the states of Oregon and Washington. More than 2,900 individuals were receiving similar benefits under the Children's Health Insurance Plan, or CHIP program. ADDITIONAL INFORMATION ABOUT NORTHWEST HEALTH PLAN'S CHARITABLE ACTIVITIES CAN BE FOUND IN SCHEDULE O. 16284854 0 401614 Charitable Care (Medical Financial Assistance and Charitable Health Coverage) Northwest Health Plan provides charity care to low-income vulnerable patients through the Medical Financial Assistance (MFA) and Charitable Health Coverage (CHC) Programs. Northwest Health Plan offers financial assistance through our MFA program to help families and individuals that are unable to pay for all or part of the cost of urgent or emergent care provided in Kaiser Permanente facilities. In 2012, this program assisted more than 12,000 qualifying applicants, providing over 45,900 prescriptions and more than 13,900 hospital inpatient days. The CHC programs are available to low income families who are not eligible for other public or privately sponsored coverage. More than 4,800 individuals were receiving comprehensive care through this program at the end of 2012. ADDITIONAL INFORMATION ABOUT NORTHWEST HEALTH PLAN'S CHARITABLE ACTIVITIES CAN BE FOUND IN SCHEDULE O. 1760740 0 0 SEE SCHEDULE O COMMUNITY BENEFIT REPORT 1760740 0 0 2863532661 true true false true false false false false false false true false false false true false true true false false false false false false false false false true false true false false false false false false false false false false false false true true true true false false true 4693 0 true 7511 true true true false false false false false false false false false X 15 12 false false true false true true true true true false false true true true true true true true true false OR WA X X VP - NATIONAL TAX COMPLIANCE 5102716385 ONE KAISER PLAZA 15L OAKLAND CA 94612 X Christine Cassel 0.5 10.5 X 0 203500 0 Thomas Chapman 1.0 12.0 X 0 214108 17000 Daniel Garcia 2.0 48.0 X 0 1424272 106893 William Graber 0.5 7.0 X 0 240823 0 J Eugene Grigsby III 1.0 7.5 X 0 221000 0 George Halvorson 5.0 45.0 X X 0 9800351 112560 Judith Johansen 0.6 5.7 X 0 207146 0 Kim J Kaiser 0.5 8.0 X 0 228500 0 Philip Marineau 0.58 6.34 X 0 225618 0 Jenny Ming 0.3 4.8 X 0 214323 0 Edward Pei 0.5 7.5 X 0 206641 17000 Margaret Porfido 0.5 9.0 X 0 237779 0 J Neal Purcell 0.5 8.5 X 0 251464 0 Cynthia Telles 0.5 6.6 X 0 226717 0 Bernard Tyson 5.0 45.0 X X 0 4087093 246726 Kathryn Lancaster 4.0 46.0 X 0 2779989 235528 Donna Lynne 4.0 46.0 X 0 1109779 461663 Andrew McCulloch 25.0 25.0 X 0 1204444 381328 Thomas Meier 2.0 48.0 X 0 816082 125506 Donald Orndoff 5.0 45.0 X 0 766341 179878 Arthur Southam 4.0 46.0 X 0 3350376 119108 Deborah Stokes 4.0 46.0 X 0 690493 184332 William Wiechmann 30.0 20.0 X 0 379824 130682 Victoria Zatkin 4.0 46.0 X 0 339271 192592 Mark Zemelman 3.0 47.0 X 0 1019066 181919 Mark Charpentier 30.0 20.0 X 0 437981 99454 Mark Enger 30.0 20.0 X 0 589324 117695 Susan Hennessy 30.0 20.0 X 0 671728 134082 Susan Mullaney 30.0 20.0 X 0 340948 68564 Karen Schartman 30.0 20.0 X 0 453750 182170 Mary Durham 30.0 20.0 X 0 352564 167255 Dale A Fossati 50.0 0.0 X 0 67129 346404 Michael Kinard 30.0 20.0 X 0 341148 205162 Richie Smith 30.0 20.0 X 0 385533 99998 Xuejun Smith 30.0 20.0 X 0 369440 81692 Steven Zatkin 0.0 0.0 X 0 323501 0 0 34778046 4195191 875 true true false NORTHWEST PERMANENTE PC 500 NE MULTNOMAH STREET PORTLAND OR 97232 MEDICAL SERVICES 478885878 PERMANENTE DENTAL ASSOCIATES 500 NE MULTNOMAH STREET PORTLAND OR 97232 DENTAL SERVICES 39506352 KAISER FOUNDATION HOSPITALS 500 NE MULTNOMAH ST PORTLAND OR 97232 HOSPITAL SERVICES 659277686 OREGON HEALTH SCIENCE UNIVERSITY 3181 SW SAM JACKSON PARK RD PORTLAND OR 97201 HOSPITAL SERVICES 23499577 SALEM HOSPITAL 890 OAK ST SE SALEM OR 97301 HOSPITAL SERVICES 17990778 251 55792 55792 MBR HLTH CARE PREM 621400 2116511856 2116511856 SUPPL CHARGE/PHARM 621400 141605823 134766947 6838876 NON-PLAN & IND REV 621400 9047117 9047117 OTHER PRGRM SERV 621400 21095036 21095036 MEDICARE 621400 691967155 691967155 2980226987 15438123 15438123 0 0 931195 131369 799826 0 799826 7626 792200 423414140 360876 417620397 203926 5793743 156950 5950693 5950693 0 0 0 MISC REVENUE 900099 23779639 23779639 23779639 3026251060 2973388111 6846502 45960655 299224 299224 0 0 0 0 0 475371841 443176334 32195507 0 82855204 82855204 177043222 176703976 339246 40571247 21421285 19149962 0 1886326 1886326 1272143 1272143 284628 284628 0 491112 491112 360865336 336008509 24856827 4622570 214927 4407643 7541682 6738463 803219 144093054 118798331 25294723 0 12575875 12575875 2942390 2526653 415737 0 883384 883384 3431301 3431301 0 35064324 35064324 16819566 16819497 69 MEDICAL SERVICE PAYMENTS 1156796933 1156796933 SUPPLIES 343297397 317753353 25544044 INTER-REGIONAL CHARGES 85198205 79956615 5241590 HIGH-RISK INSURANCE POOL COSTS 19729939 19729939 34126694 32661918 1464776 3008063597 2863532661 144530936 0 6752684 11907229 0 0 0 0 66729582 73376649 0 0 0 0 0 0 23583251 23535216 4638486 4597015 610640736 358037094 257388812 252603642 820134401 837796467 0 0 0 0 0 0 49044521 56429465 1228271737 1260245683 181729185 158741885 0 0 24948898 30359339 0 0 0 0 0 0 0 0 0 0 1059714456 1017721071 1266392539 1206822295 X 4712722 4712722 0 0 -42833524 48710666 -38120802 53423388 1228271737 1260245683 X 18187463 -915573 74272300 X false true X true false X 0 0 56498 34240 55792 146530 2461397785 2573087902 2682950846 2817773409 2980226987 13515436929 0 0 0 2461397785 2573087902 2683007344 2817807649 2980282779 13515583459 0 0 0 13515583459 30524341 26785941 22587692 19185497 16369318 115452789 0 30524341 26785941 22587692 19185497 16369318 115452789 0 0 2491922126 2599873843 2705595036 2836993146 2996652097 13631036248 0.99153 0.98994 0.00847 0.01006 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false true false false false true 13941 true 167286 true 27881 true 75520 284628 false Schedule C, Part II-B, Lines 1a through 1i LOBBYING ACTIVITY BY NONELECTING PUBLIC CHARITIES The Organization is a member of the Kaiser Permanente Medical Care Program and participated in and benefited from lobbying activities conducted at the regional and national levels for the benefit of its enrolled members and for the health care industry as a whole. As an organization exempt from income tax under Internal Revenue Code Section 501(c)(3), Health Plan has a policy prohibiting internal involvement in any political campaigns. This policy is closely monitored for compliance. During the year this Organization may have made comments or statements concerning legislation which may affect the health care industry. Health Plan may have engaged in conversations with and/or written communications to various Federal, state, and local officials regarding matters which affected the healthcare industry as a whole. The amount of time and money involved in the activities is detailed on lines a through i. Health Plan employs individuals, including one or more registered lobbyists and/or may retain one or more professional consultants to represent Health Plan's interests in various legislative and regulatory bodies and from time-to-time to keep informed about Federal and state legislation having an impact on Health Plan's charitable activities as an exempt Health Maintenance Organization. These individuals attempt to ensure that proposed legislation and enacted laws are compatible with the interests of Health Plan and its members by performing the following activities: (I) Collecting, analyzing and distributing within the Organization, public and private policy recommendations regarding proposed legislation that affect the operation of Health Plan and its ability to provide quality health and medical care services to its members in a cost effective environment. (II) Providing appropriate informational materials to legislators and to their staffs that pertain to matters of common interest in the health care community and in the not-for-profit community. (III) Also by preparing written and oral testimony, these individuals appear at legislative hearings, monitor legislative proceedings and meet with legislators and/or their staffs regarding issues pertinent to the mission of Health Plan. Those individuals appearing at such hearings and meetings for and on behalf of Health Plan often are representing the interests of common interest groups as well as the interests of the members of Health Plan. (IV) Other employees and officers perform services by delivering speeches at various public and private functions and in serving as faculty in healthcare related educational programs throughout the community. 31777408 31777408 392422677 242793846 149628831 22312380 12739018 9573362 138724841 92664092 46060749 25403430 9840138 15563292 252603642 0 SELF-INSURED RISK - PPL 65105682 SELF-INSURED RISK - AUTO & UNEMPLOYMENT 460000 SELF-INSURED RISK - WORKERS COMPENSATION 5064544 POST RETIREMENT BENEFIT-LT 914519168 POST RETIREMENT BENEFIT-CURRT 11408102 OTHER LIABILITIES 21163575 1017721071 3094802641 -915573 78227958 77312385 3017490256 8760804 8760804 3026251060 3003258449 6322336 6322336 2996936113 491112 10636372 11127484 3008063597 Schedule D, Part X, Line 2 FIN 48 Footnote The organization's financial statements do not include a footnote under FIN 48. Schedule D, Part XI, Line 2d Change in Other Comprehensive Income $ 73,793,419 Gain/loss on sale of investments - book 7,373,787 OTTI Losses ( See Note 1) (1,101,161) Inter-entity revenue reclass 9,289,397 Net Internal Interest reclass (3,258,830) Investment Management Fee Reclass <491,112> Bad Debt expense reclass (7,377,542) TOTAL $ 78,227,958 Note 1: Other than temporary impairment (OTTI) of investment recognized for financial statement purposes, which will be tax reported when realized. Schedule D, Part XI, Line 4b Gain/loss on sale of investments - tax $ 5,793,743 Rental revenue reclass (131,369) Miscellaneous revenue reclass 3,098,430 Total $ 8,760,804 Schedule D, Part XII, Line 2d Inter-entity Expense reclass 9,289,397 Misc Expenses reclass (3,098,430) RENTAL EXPENSES RECLASS 131,369 Total $ 6,322,336 Schedule D, Part XII, Line 4b Bad Debt expense reclass $ 7,377,542 Net Internal Interest reclass 3,258,830 Total $ 10,636,372 true Neighborhood Health Center 3720 SW 141st Ave 100 Beverton OR 97005 273524752 501(c)(3) 50000 Oral Health Initiative Upstream Public Health 240 North Broadway Portland OR 97214 421579435 501(c)(3) 50000 Water Fluoridatn Ed Yamhill County 627 NE Evans McMinnville OR 97302 936002318 501(c)(3) 50000 Dental Uninsured North Clackamas School District 4444 SE Lake Rd Dept 950 Milwaukie OR 97222 930599524 Government 20000 Operating Support American Heart Association 1200 NW Naito Parkway Portland OR 97209 135613797 501(c)(3) 7568 fundraiser Familias en Accion 2710 NE 14th Portland OR 97212 931284335 501(c)(3) 10000 conference support Medical Foundation of Marion & Polk 2995 Ryan Dr 100 Portland OR 97301 931261633 501(c)(3) 5230 fundraiser scholarship & Awards Banquet Silver Sponsorship Portland Schools Foundation 2069 NE Hoyt Portland OR 97232 931149789 501(c)(3) 9600 fundraiser 8 0 Schedule I, Part I, Question 2 At the end of their funding cycle grantees are required to submit a final REPORT WHICH DELINEATES ACCOMPLISHMENTS RELATED TO STATED OBJECTIVES. LARGE GRANTS (TYPICALLY OVER $100,000) MAY REQUIRE QUARTERLY PROGRESS REPORTS. false true false false false false false true false Christine Cassel 0 203500 0 0 0 0 0 0 0 0 0 203500 0 0 Thomas Chapman 0 214108 0 0 0 0 0 17000 0 0 0 231108 0 0 Mark Charpentier 0 242112 0 170227 0 25642 0 81482 0 17972 0 537435 0 0 Mary Durham 0 206142 0 110485 0 35937 0 147950 0 19305 0 519819 0 1247 Mark Enger 0 343182 0 207996 0 38146 0 96224 0 21471 0 707019 0 0 Daniel Garcia 0 577139 0 815322 0 31811 0 78965 0 27928 0 1531165 0 0 Dale A Fossati 0 57691 0 550 0 8888 0 341610 0 4794 0 413533 0 0 William Graber 0 240823 0 0 0 0 0 0 0 0 0 240823 0 0 J Eugene Grigsby III 0 221000 0 0 0 0 0 0 0 0 0 221000 0 0 George Halvorson 0 1242168 0 6949670 0 1608513 0 80547 0 32013 0 9912911 0 1500000 Susan Hennessy 0 297433 0 199348 0 174947 0 114776 0 19306 0 805810 0 154639 Judith Johansen 0 207146 0 0 0 0 0 0 0 0 0 207146 0 0 Kim J Kaiser 0 228500 0 0 0 0 0 0 0 0 0 228500 0 0 Michael Kinard 0 243727 0 92489 0 4932 0 188308 0 16854 0 546310 0 0 Kathryn Lancaster 0 650287 0 1297450 0 832252 0 221210 0 14318 0 3015517 0 261310 Donna Lynne 0 491921 0 577175 0 40683 0 445950 0 15713 0 1571442 0 0 Philip Marineau 0 225618 0 0 0 0 0 0 0 0 0 225618 0 0 Andrew McCulloch 0 396395 0 475033 0 333016 0 356110 0 25218 0 1585772 0 73393 Thomas Meier 0 318951 0 459975 0 37156 0 98090 0 27416 0 941588 0 1075 Jenny Ming 0 214323 0 0 0 0 0 0 0 0 0 214323 0 0 Susan Mullaney 0 251100 0 86304 0 3544 0 44826 0 23738 0 409512 0 0 Donald Orndoff 0 390840 0 352750 0 22751 0 156068 0 23810 0 946219 0 0 Edward Pei 0 206641 0 0 0 0 0 17000 0 0 0 223641 0 0 Margaret Porfido 0 237779 0 0 0 0 0 0 0 0 0 237779 0 0 J Neal Purcell 0 251464 0 0 0 0 0 0 0 0 0 251464 0 0 Karen Schartman 0 280975 0 156866 0 15909 0 166672 0 15498 0 635920 0 0 Richie Smith 0 260481 0 109028 0 16024 0 78461 0 21537 0 485531 0 0 Arthur Southam 0 755588 0 1530102 0 1064686 0 97089 0 22019 0 3469484 0 333769 Deborah Stokes 0 347253 0 278496 0 64744 0 167539 0 16793 0 874825 0 43578 Cynthia Telles 0 226717 0 0 0 0 0 0 0 0 0 226717 0 0 Bernard Tyson 0 932699 0 2087352 0 1067042 0 221647 0 25079 0 4333819 0 449238 William Wiechmann 0 234508 0 129515 0 15801 0 109786 0 20896 0 510506 0 0 Steven Zatkin 0 0 0 288225 0 35276 0 0 0 0 0 323501 0 16632 Victoria Zatkin 0 196294 0 106133 0 36844 0 189027 0 3565 0 531863 0 3175 Mark Zemelman 0 465119 0 387152 0 166795 0 159780 0 22139 0 1200985 0 126344 Xuejun Smith 0 189607 0 26337 0 153496 0 55221 0 26471 0 451132 0 0 Schedule J, Part II Steven Zatkin - general counsel to 6/30/2010; consultant 3/4/2011 to present. Bernard Tyson - Board of Directors effective 12/06/2012. J. Neal Purcell - Board of Directors to 12/31/2012. Schedule J, Part I, line 3 Kaiser foundation health plan of the northwest relied on kaiser foundation health plan, inc. that used one or more of the methods described below to establish the top management officials' compensation: - Compensation committee - Independent compensation consultant - Form 990 of other organizations - Written employment contract - Compensation survey or study, and - Approval by the board or compensation committee. Schedule J, Part I, Line 4b Supplemental Nonqualified Retirement Plan Payment George Halvorson $ 1,500,000 Bernard Tyson 1,036,741 Kathryn Lancaster 790,314 Thomas Meier 1,075 Arthur Southam 1,021,889 Deborah Stokes 43,578 Steven Zatkin 16,632 Victoria Zatkin 3,175 Mark Zemelman 126,344 Susan Hennessy 154,639 Andrew McCulloch 293,100 Mary Durham 1,247 Some of the listed persons participated in nonqualified supplemental retirement plans. Under these plans, the organization makes annual contributions to accounts held in the name of individual participants. Contributions vary by position level and pay, and vest over time based on age and/or service. Participant accounts are credited with actual investment returns from up to four mutual funds and/or with a fixed rate of interest or a combination thereof. Unvested amounts are subject to risk of forfeiture. Schedule J, Part I, Line 7 Non-Fixed Payments The organization provided non-fixed payments to some of the persons listed. Payments were made under incentive plans, based on attainment of organizational performance goals and individual performance, designed to support the organization's mission to provide high-quality, affordable care and improve the health of its members and the communities it serves. Form 990, Heading, Item B, Amended Return Part VII and Schedule J of the return have been amended to reflect updated compensation information regarding certain deferred compensation calculations. Form 990, Part III, Lines 4a - 4d 2012 COMMUNITY BENEFIT REPORT KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST, INC. KAISER FOUNDATION HEALTH PLAN'S COMMITMENT TO THE COMMUNITY IN 2007, KAISER FOUNDATION HEALTH PLAN'S BOARD OF DIRECTORS REFINED THE FOCUS OF THE ORGANIZATION'S COMMUNITY BENEFIT PROGRAM AND ESTABLISHED THE FOLLOWING FOUR PRIORITY AREAS WHICH HAVE COME TO BE KNOWN AS "STREAMS OF WORK": A. CARE AND COVERAGE FOR LOW-INCOME PEOPLE - CREATES AND SUPPORTS PROGRAMS THAT LOWER THE FINANCIAL BARRIERS FOR THE UNDER- AND UNINSURED. B. COMMUNITY HEALTH INITIATIVES (CHI) - SEEKS TO MEASURABLY IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE. DESIGNS, DELIVERS, AND SUSTAINS LONG-TERM PROGRAMS THAT ENGAGE COMMUNITIES IN WORK TO IMPROVE CONDITIONS IN THEIR NEIGHBORHOODS. C. SAFETY NET PARTNERSHIPS - BUILDS PARTNERSHIPS WITH COMMUNITY CLINICS, LOCAL HEALTH DEPARTMENTS, AND PUBLIC HOSPITALS. PROVIDES FUNDING, TECHNICAL ASSISTANCE, DISSEMINATION OF CARE MANAGEMENT AND QUALITY IMPROVEMENTS TECHNOLOGY TO HELP IMPROVE CARE AND EXPAND TREATMENT CAPACITY FOR VULNERABLE POPULATIONS. D. DEVELOPING AND DISSEMINATING KNOWLEDGE - IMPROVES HEALTH CARE BY SHARING OUR KNOWLEDGE - EDUCATING PRACTITIONERS, ADVANCING RESEARCH, EMPOWERING CONSUMERS AND INFORMING POLICYMAKERS ABOUT THE EVIDENCE BASE FOR CARE AND HEALTH. THE FOLLOWING ARE DETAILS OF COMMUNITY BENEFIT ACTIVITIES PROVIDED BY KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST IN 2012, NORTHWEST HEALTH PLAN SERVED 484,349 MEMBERS AND EXPENDED $60.7 MILLION (AT COST, NET OF $23.6 MILLION OF RELATED REVENUES) TO SUPPORT COMMUNITY BENEFIT ACTIVITIES. THE FOLLOWING SUMMARIZES MANY OF THE SIGNATURE COMMUNITY BENEFIT PROGRAMS AND SERVICES GROUPED ACCORDING TO THE NATIONAL STREAMS OF WORK. A. CARE AND COVERAGE FOR LOW-INCOME PEOPLE IN 2012, THE NORTHWEST HEALTH PLAN SPENT APPROXIMATELY $58.8 MILLION (AT COST, NET OF $23.6 MILLION OF RELATED REVENUES) TO ADDRESS THE FINANCING AND DELIVERY OF HEALTH CARE FOR POPULATIONS VULNERABLE DUE TO SOCIO-ECONOMIC STATUS, ILLNESS, ETHNICITY, AGE OR OTHER FACTORS. PROGRAM BENEFICIARIES (UNDER- AND UNINSURED) RECEIVED FREE OR DISCOUNTED CARE IN A KAISER PERMANENTE FACILITY OR BY A KAISER PERMANENTE PROVIDER. 1. CHARITABLE CARE (MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS) IN OREGON AND WASHINGTON, NORTHWEST HEALTH PLAN PROVIDES CHARITY CARE TO LOW-INCOME VULNERABLE POPULATIONS THROUGH THE MEDICAL FINANCIAL ASSISTANCE AND CHARITABLE HEALTH COVERAGE PROGRAMS. IN 2012, THE NORTHWEST HEALTH PLAN SPENT $15.9 MILLION (AT COST, NET OF $402 THOUSAND OF RELATED REVENUES) ON UNDER- AND UNINSURED PATIENTS. 1) MEDICAL FINANCIAL ASSISTANCE PROGRAM THIS PROGRAM HELPS PAY THE MEDICAL AND DENTAL EXPENSES OF PATIENTS, BOTH MEMBER AND NONMEMBER, WHO MEET QUALIFYING GUIDELINES BY PAYING FOR SERVICES AT FACILITIES OWNED AND/OR OPERATED BY THE NORTHWEST HEALTH PLAN. THE LENGTH OF FINANCIAL ASSISTANCE IS BASED ON INDIVIDUAL NEED. AT THE END OF THE FINANCIAL ASSISTANCE AWARD PERIOD, THE PATIENT MAY APPLY FOR AN EXTENSION. IN 2012, NORTHWEST HEALTH PLAN SPENT $8.3 MILLION (AT COST, NET OF RELATED REVENUES) ON APPLICANTS WHO QUALIFIED FOR MEDICAL ASSISTANCE OR THE UNINSURED DISCOUNT. 2) CHARITABLE COVERAGE PROGRAM CHARITABLE HEALTH COVERAGE (CHC) IS A UNIQUE APPROACH TO CARING FOR LOW-INCOME UNINSURED PERSONS IN THE COMMUNITY. ELIGIBLE PARTICIPANTS RECEIVE A REGULAR KAISER PERMANENTE MEMBERSHIP CARD AND ACCESS TO THE FULL RANGE OF OUR SERVICES AND PROVIDERS - A MUCH BETTER ALTERNATIVE TO A BRIEF AND COSTLY EMERGENCY ROOM VISIT OR HOSPITALIZATION. THIS ALLOWS US TO INVEST IN THE LONGER TERM HEALTH OF PATIENTS AND THE COMMUNITY. SINCE INCEPTION IN THE EARLY 1980s, CHC PROGRAMS HAVE MADE A REAL DIFFERENCE IN THE LIVES OF PERSONS WHO MIGHT OTHERWISE HAVE NO OTHER SOURCE OF CARE. THE NORTHWEST HEALTH PLAN PROVIDED COVERAGE AND SERVICES VALUED AT $7.6 MILLION (AT COST, NET OF RELATED REVENUES) TO PROVIDE SUBSIDIZED COVERAGE TO LOW-INCOME ADULTS AND CHILDREN WHO ARE NOT ELIGIBLE FOR STANDARD MEDICAID OR PRIVATELY FUNDED COVERAGE. THE CHARITABLE HEALTH COVERAGE PROGRAM CONSISTS OF TRANSITIONS AND THE CHILD HEALTH PLAN. - TRANSITIONS - THE TRANSITIONS PROGRAM IS A FULLY SUBSIDIZED HEALTH INSURANCE PROGRAM FOR ELIGIBLE LOW-INCOME FAMILIES. EIGHT COLLEGE CAMPUSES CURRENTLY PARTICIPATE WITHIN THE PORTLAND METROPOLITAN AREA. STUDENTS MUST BE ENROLLED IN A PARTICIPATING SCHOOL, MEET FINANCIAL CRITERION, AND CANNOT BE ENROLLED IN ANOTHER PRIVATE OR PUBLIC HEALTH CARE PLAN. GRADUATES ARE ELIGIBLE FOR AN ADDITIONAL SIX MONTHS COVERAGE OR UNTIL EMPLOYER-PAID COVERAGE IS ACTIVATED. (NOT TO EXCEED 48 MONTHS). - CHILD HEALTH PLAN - THE CHILD HEALTH PROGRAM IS A FULLY SUBSIDIZED HEALTH INSURANCE PROGRAM FOR ELIGIBLE LOW-INCOME STUOENTS. 397 SCHOOLS CURRENTLY PARTICIPATE WITHIN THE MULTNOMAH EDUCATION SERVICE DISTRICT, SALEM-KEIZER SCHOOL DISTRICT AND HILLSBORO SCHOOL DISTRICT, BEAVERTON SCHOOL DISTRICT AND CLACKAMAS SCHOOL DISTRICT. STUDENTS MUST BE ENROLLED IN A PARTICIPATING SCHOOL, MEET FINANCIAL CRITERION, AND CANNOT BE ENROLLED IN ANOTHER PRIVATE OR PUBLIC HEALTH CARE PLAN. THE PARTICIPATING SCHOOL DISTRICTS ACT AS THE ADMINISTRATORS FOR THE PROGRAM AND ARE RESPONSIBLE FOR OUTREACH, ELIGIBILITY DETERMINATION AND ENROLLMENT. 2. PARTICIPATION IN MEDICAID AND OTHER GOVERNMENT-SPONSORED PROGRAMS THE NORTHWEST HEALTH PLAN PROVIDED COVERAGE AND SERVICES VALUED AT $42.9 MILLION (AT COST, NET OF $23.2 MILLION OF RELATED REVENUES) FOR MEMBERS AND NONMEMBERS IN GOVERNMENT-SPONSORED PROGRAMS. 1) MEDICAID PROGRAMS THE NORTHWEST HEALTH PLAN PARTICIPATED IN THREE MEDICAID PROGRAMS IN OREGON AND WASHINGTON. THE FOLLOWING DESCRIBE THE PROGRAMS AND TARGET POPULATIONS. MEDICAID MEMBER PROGRAMS - OREGON HEALTH PLAN - NORTHWEST HEALTH PLAN RECEIVES MONTHLY CAPITATED PREMIUMS FROM THE DIVISION OF MEDICAL ASSISTANCE PROGRAM (DMAP). MEMBERS ARE ENROLLED BASED ON ELIGIBILITY CRITERIA. THE HEALTH PLAN PROVIDES SERVICES TO ELIGIBLE PARTICIPANTS WHO RESIDE IN CLACKAMAS, MULTNOMAH, POLK, AND MARION COUNTIES. - HEALTHY OPTIONS - HEALTHY OPTIONS IS A MEDICAID PROGRAM FOR LOW INCOME INDIVIDUALS THAT MEET ELIGIBILITY GUIDELINES FOR MEDICAID. IT IS A STATE PROGRAM MANAGED BY THE WASHINGTON STATE HEALTH CARE AUTHORITY (HCA). KAISER PERMANENTE PROVIDES SERVICES TO ELIGIBLE PARTICIPANTS WHO RESIDE IN EITHER CLARK OR COWLITZ COUNTIES THROUGH A SUBCONTRACT WITH MOLINA HEALTHCARE. 2) MEDICAID TO NONMEMBERS NORTHWEST HEALTH PLAN CONTRIBUTED $1.8 MILLION IN SUBSIDIZED CARE TO MEDICAID FEE-FOR-SERVICE PATIENTS. WHEN A MEDICAID NONMEMBER RECEIVES SERVICES FROM KAISER PERMANENTE PROVIDERS AT CONTRACT HOSPITALS OR OUTPATIENT SERVICES AS A RESULT OF HOSPITAL VISIT FOLLOW-UP, OR IN-PATIENT SERVICES UNDER THE MEDICAID PROGRAM, THESE EXPENSES ARE RECORDED AS NON-CAPITATED SERVICES AND ARE REPORTED AS PROFESSIONAL AND NON-PROFESSIONAL LOSSES FOR MEDICAID NONMEMBERS. 3) OTHER GOVERNMENT PROGRAMS THE OREGON AND WASHINGTON MEDICAL INSURANCE POOLS ARE INSURANCE POOLS FOR INDIVIDUALS WHO DO NOT HAVE ACCESS TO INDIVIDUAL INSURANCE DUE TO PRE-EXISTING CONDITIONS THAT DISQUALIFY THEM FROM OTHER GROUP PLANS. LEGISLATION ALLOWS THE STATES TO SPREAD A PORTION OF THE PROGRAM EXPENSES FOR ENROLLEES ACROSS THE INDIVIDUALS WHO ARE INSURED WHOLLY OR IN PART BY ALL HEALTH INSURERS, RE-INSURERS AND STOP-LOSS CARRIERS LICENSED IN THE STATE. B. COMMUNITY HEALTH INITIATIVES (CHI) THE FOLLOWING ARE TWO OF THE INITIATIVES THE NORTHWEST HEALTH PLAN SUPPORTED IN 2012 WITH AN EMPHASIS ON HEALTHY EATING ACTIVE LIVING, OR HEAL. EDUCATIONAL RESOURCES NORTHWEST HEALTH PLAN SUPPORTED EFFORTS TO INCREASE ACCESS TO HEALTHY FOOD WITH A FOCUS ON VULNERABLE POPULATIONS. INITIATIVES INCLUDED FARM-TO-SCHOOL, FARM-TO-HEADSTART, HEALTHY CORNER STORES, PRISON GARDENS, LOCAL FOOD SYSTEM PLANNING AND COLLABORATIONS WITH OTHER ORGANIZATIONS WORKING TO BUILD A HEALTHY, EQUITABLE FOOD SYSTEM. ACTIVE LIVING KAISER PERMANENTE SUPPORTED COMMUNITY PROGRAMS THAT ENCOURAGE PHYSICAL ACTIVITY. EXAMPLES ARE PORTLAND SUNDAY PARKWAYS, WALK THERE GUIDES, VAMANOS WALKING MAPS, PEDOMETER DONATIONS, AND FUNDING OF SAFE ROUTES TO SCHOOLS PROGRAMS. C. SAFETY NET PARTNERSHIPS THE FOLLOWING ARE THREE OF THE WAYS THAT NORTHWEST HEALTH PLAN CONTRIBUTED RESOURCES TO SUPPORT NONPROFIT SAFETY NET ORGANIZATIONS DURING 2012. VOLUNTEER CLINICS THESE EVENTS ENCOURAGE, ENGAGE, AND ASSIST KAISER PERMANENTE STAFF WHO VOLUNTEER THEIR SKILLS WITH NONPROFIT HEALTHCARE ORGANIZATIONS. A MAJOR VOLUNTEER PROGRAM HAS BECOME SYNONYMOUS WITH MARTIN LUTHER KING JR. DAY WHEN STAFF IS ASSIGNED TO VARIOUS NONPROFIT MEDICAL CLINICS. THIS PERMITS THE FACILITIES TO SERVE A GREATER NUMBER OF THE COMMUNITY WITH THEIR HEALTHCARE NEEDS. DENTAL PROGRAM THIS INITIATIVE PROVIDES SUPPORT STAFF AND FACILITIES FOR THE PROVISION OF MUCH NEEDED DENTAL CARE FOR UNDER- AND UNINSURED IN COWLITZ, LEWIS, AND WAHKIAKUM COUNTIES. PROFESSIONAL SERVICES ARE PROVIDED BY DENTAL FACULTY AND STUDENTS OF THE UNIVERSITY OF WASHINGTON DENTAL SCHOOL AND CLINICS ARE HELD APPROXIMATELY FOUR TIMES PER YEAR. FREE DENTAL CARE DAYS FOR KIDS SEVERAL OF NORTHWEST HEALTH PLAN'S DENTAL OFFICES PROVIDE FREE DENTAL CARE FOR KIDS ONE OR TWO DAYS EACH YEAR. TYPICALLY, THESE CLINICS ARE HELD ON SATURDAYS, AND CHILDREN ARE REFERRED BY SCHOOL NURSES OR OTHER COMMUNITY RESOURCES. D. OTHER COMMUNITY BENEFIT INVESTMENTS DURING 2012, THE NORTHWEST HEALTH PLAN SPENT $1.8 MILLION ON OTHER COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS BEYOND THE NATIONAL STREAMS OF WORK. INVESTMENTS INCLUDED ADMINISTRATIVE COSTS SUCH AS THE LABOR AND NON-LABOR EXPENSES NECESSARY FOR THE CONTINUING OPERATIONS OF THE COMMUNITY BENEFIT PROGRAMS IN THE NORTHWEST REGION. Form 990, Part VI, Question 4 Changes to governing documents Articles II (Purposes) and IV (Restrictions and Dissolution) were amended to: (a) set forth a broad statement of the corporation's primary purposes that reflects current case law; (b) revise the nondiscrimination language to be consistent with current legal standards; and (c) expressly state that the corporation is prohibited from engaging in activities not permitted by Section 501(c)(3) of the Internal Revenue Code and to specifically state that the corporation shall not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. Articles of Amendment - Nonprofit of the Corporation were filed February 7, 2012. Articles V through VII, which contained outdated or inconsistent language were removed and the remaining articles on file consisting of Articles I through IV were fully restated and incorporated into one document. Restated Articles of Incorporation - Nonprofit of the Corporation were filed August 3, 2012. The Bylaws of the Corporation were amended in 2012 as follows: On December 6, 2012, Article D, Directors and Article E, Officers were amended to provide for up to fifteen directors and up to three inside directors, and the possibility of the Chairman of the Board and the Chief Executive Officer not being the same person. Form 990, Part VI, Question 6 Kaiser foundation health plan, inc. is the sole member. Upon dissolution, remaining assets shall be distributed to a 501(c)(3) organization. Form 990, Part VI, Questions 7a KFHP appoints the directors (and fills vacancies and has authority to remove directors). The same 15 individuals who comprise the board of directors of KFHP also serve as the 15 directors of KFHP-CO, OH, NW, MAS. Form 990, Part VI, Question 7b THE FOLLOWING ACTIONS OF THE CORPORATION REQUIRE APPROVAL OF THE SOLE MEMBER: A) REMOVAL OF THE CHAIRMAN OF THE BOARD OR ANY PRESIDENT; B) Amendment of article d, section d-4 of the bylaws - election and term of office of directors. Form 990, Part VI, Question 11b form 990 review process 1. Key information necessary for the preparation of the tax return is obtained and/or confirmed with internal sources including regional finance, executive compensation, community benefits, treasury, government relations, and legal. 2. Community benefits details are presented to the community benefit committee of the board for review. 3. Executive compensation details are presented to the compensation committee of the board for review. 4. The complete tax return is reviewed and signed by a Pricewaterhousecoopers LLP tax advisor. 5. The complete tax return is reviewed and signed by an officer or a member of management designated by an officer. 6. A copy of the return is provided to each board member prior to filing. Form 990, Part VI, Questions 12c Compliance Enforcement A. Regularly and Consistently Monitors Compliance with the Conflicts of Interest Policy - Kaiser Permanente regularly monitors compliance with the Conflicts of Interest Policy in 3 key ways: 1. The Kaiser Permanente Compliance Hotline is available to all employees and vendors to report actual or potential conflicts of interest. All calls are answered by a third party and provided to Kaiser Permanente's National Compliance office for review and appropriate action. Employees can report anonymously. Retaliation is prohibited. Reports of actual or potential Conflicts of Interest are generated and investigations are conducted as required and information is tracked and trended to determine if additional guidance is required to avoid or manage conflicts of interest. Compliance Hotline Reports are provided for review and action to the Kaiser Foundation Health Plan/Hospitals Boards of Directors annually. 2. The National Compliance Office and Internal Audit Services annually review the directors', officers', key employees', and executives' Annual Conflicts of Interest Questionnaire disclosures and provide direction on any investigations required. Investigations are documented, tracked and trended to determine if additional controls or education is required. In addition, Conflicts of Interest Questionnaire Reports are provided for review and action to the Kaiser Foundation Health Plan/Hospitals Boards of Directors annually; and 3. Annually, as a component of the external audit, KPMG reviews the Annual Conflicts of Interest Questionnaires completed by Directors, Officers, Key Employees, and Executives, and actions taken as a result of the disclosures. The results of the annual audit, including any findings in this area are presented to the Kaiser Foundation Health Plan/Hospitals Audit and Compliance Committee. B. Regularly and Consistently Enforces Compliance with the Conflicts of Interest Policy - To ensure consistency in the enforcement of the policy Kaiser Permanente uses the following steps as a general guideline: 1. Represented employees are subject to any corrective/disciplinary action provisions described in specific regional/national collective bargaining agreements and/or organizational policies and practices. 2. Kaiser Permanente notifies employees of the National Human Resources Policy No. 14. Corrective/Disciplinary Action Policy during new employee orientation and in annual compliance training. 3. In the event that it is necessary to discipline any employee because of, but not limited to, failure to comply with applicable legal/regulatory requirements, Kaiser Permanente policies and procedures, or the Principles of Responsibility, or for unsatisfactory performance or misconduct, coaching/counseling and/or corrective/disciplinary action may include, but is not limited to: - Oral discussion and/or warning by the employee's immediate supervisor or higher level manager to correct the problem; - Written notice, with or without final warning; - Paid or unpaid suspension, with or without final warning; - Termination of employment. Form 990, Part VI, Question 15a/b Compensation Determination The executive compensation program is designed to recruit, retain and motivate qualified senior management personnel. Senior management personnel have a significant impact on the strategic and policy direction and results of the organization. Therefore, the executive compensation program is, to a significant degree, performance-based. The compensation program is reviewed annually by the Compensation Committee of the Board of Directors which evaluates and approves, prior to payment, all programs and payments to CEO, Executive Director and top management officials (executives). Base pay for executive positions is established at a level comparable to the relevant market. In addition, other components of the compensation program bear 'at-risk' features designed to focus on strategically important performance goals and to assist in attracting and retaining top performers. The executive compensation program is targeted at the median of the comparable external market in which the organization competes for executive leadership. Evaluation of comparable pay data is performed by an Independent Compensation, Benefit & Human Resource Consulting firm. The compensation program focuses on objectives in the areas of quality of member care and service, financial soundness, and the community and social mission of the organization. Form 990, Part VI, Question 18 Available on Guidestar.org website Form 990, Part VI, Question 19 Public Inspection Copy Governing documents - are available from the Department of Insurance and maintained on the state agency website or upon request. COI is available on KP website under vendor Principles of Responsibility or upon request. Financial Statements are on file with state insurance agency on a statutory basis (stand alone entity). Combined data is published for Kaiser Foundation Health Plan Inc. and subsidiaries and Kaiser Foundation Hospitals and Subsidiaries with audit opinion by KPMG and is available upon request. To request copies contact: Vice President - National Tax Compliance Kaiser Foundation Health Plan and Hospitals One Kaiser Plaza, Suite 15L Oakland, CA 94612. Form 990, Part VII, Section A, Column B Hours for Related Organization Individuals who are both officers and members of Boards of Directors work full time as employees as well as fulfill their board assignment. All officers work full time in their employee capacity. Full time work may require in excess of the traditional 40 hour week. Given the integrated nature of our organization, employees may provide support for various Kaiser Permanente companies. The average hours per week reported for the filing organization and related organizations was estimated. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in Other Comprehensive Income $ 73,793,417 Gain/loss on sale of investments - tax (5,793,743) Gain/loss on sale of investments - book 7,373,787 Other than temporary impairment loss (1,101,161) TOTAL $ 74,272,300 Kaiser Permanente Oregon Plus LLC ONE KAISER PLAZA 15L OAKLAND CA 94612 202396517 HEALTH CARE OR na Kaiser Foundation Health Plan Inc ONE KAISER PLAZA 15L OAKLAND CA 94612 941340523 HEALTH CARE CA 501(c)(3) 9 NA false Kaiser Foundation Health Plan of CO Inc ONE KAISER PLAZA 15L OAKLAND CA 94612 840591617 HEALTH CARE CO 501(c)(3) 9 KFHP INC true Kaiser Foundation Health Plan of GA Inc ONE KAISER PLAZA 15L OAKLAND CA 94612 581592076 HEALTH CARE GA 501(c)(3) 9 KFHP INC true Kaiser Foundation Health Plan of the MAS ONE KAISER PLAZA 15L OAKLAND CA 94612 520954463 HEALTH CARE MD 501(c)(3) 9 KFHP INC true Kaiser Foundation Health Plan of OH Inc ONE KAISER PLAZA 15L OAKLAND CA 94612 340922268 HEALTH CARE OH 501(c)(3) 9 KFHP INC true Kaiser Foundation Hospitals ONE KAISER PLAZA 15L OAKLAND CA 94612 941105628 HEALTH CARE CA 501(c)(3) 3 KFHP INC true Camp Bowie Service Center ONE KAISER PLAZA 15L OAKLAND CA 94612 943299123 ADMIN CA 501(c)(3) 11 - I KFHP INC true Kaiser Health Alternatives ONE KAISER PLAZA 15L OAKLAND CA 94612 930954562 HEALTH CARE OR 501(c)(3) 9 KFHP INC true Kaiser Hospital Asset Management Inc ONE KAISER PLAZA 15L OAKLAND CA 94612 943299125 ASSET MGMT CA 501(c)(3) 11 - I KFH true Kaiser Health Plan Asset Management Inc ONE KAISER PLAZA 15L OAKLAND CA 94612 943299124 ASSET MGMT CA 501(c)(3) 11 - I KFHP INC true Lokahi Assurance Ltd ONE KAISER PLAZA 15L OAKLAND CA 94612 912171891 risk mgmt HI 501(c)(3) 11 - I KFHP INC true OHP ONE KAISER PLAZA 15L OAKLAND CA 94612 930480268 LEASING WA 501(c)(3) 11 - I KFHP INC true 1800 Harrison Foundation ONE KAISER PLAZA 15L OAKLAND CA 94612 943317484 FINANCING CA 501(c)(3) 11 - II KFHP INC true KAISER HOSPITAL ASSISTANCE CORPORATION ONE KAISER PLAZA 15L OAKLAND CA 94612 311779500 FINANCING CA 501(c)(3) 11 - III-NF KFH true HCMS LLC ONE KAISER PLAZA 15L OAKLAND CA 94607 203924985 CONSULTING CA NA NONE false false KAISER PERMANENTE VENTURES LLC ONE KAISER PLAZA 15L OAKLAND CA 94612 272252521 INVESTMENTS SVC CA NA NONE false false Archimedes Inc ONE KAISER PLAZA 15L OAKLAND CA 94612 203774729 CONSULTING CA NA C CORP true Kaiser Permanente International ONE KAISER PLAZA 15L OAKLAND CA 94612 943245176 CONSULTING CA NA C CORP true Kaiser Permanente Insurance Company ONE KAISER PLAZA 15L OAKLAND CA 94612 943203402 INSURANCE CA NA C CORP true Kaiser Properties Services Inc ONE KAISER PLAZA 15L OAKLAND CA 94612 943259432 REAL ESTATE CA NA C CORP true Oak Tree Assurance Ltd ONE KAISER PLAZA 15L OAKLAND CA 94612 030329760 INSURANCE VT NA C CORP true false false false false false false false false true false false true true false false true true true true KAISER FOUNDATION HOSPITALS I 2409532 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC L 10727790 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN OF COLORADO L 292596 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN OF THE MAS L 121281 PER AGREEMENT KAISER PERMANENTE INSURANCE COMPANY L 2805233 PER AGREEMENT LOKAHI ASSURANCE LTD L 2429600 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC M 83844633 PER AGREEMENT KAISER FOUNDATION HOSPITALS M 807548855 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN OF COLORADO M 387397 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN OF GEORGIA M 140240 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN OF THE MAS M 312612 PER AGREEMENT CAMP BOWIE SERVICE CENTER M 7985387 PER AGREEMENT LOKAHI ASSURANCE LTD M 14602521 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC P 42288654 PER AGREEMENT KAISER FOUNDATION HOSPITALS P 877124092 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN OF COLORADO P 237216 PER AGREEMENT CAMP BOWIE SERVICE CENTER P 244820 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC Q 27133502 PER AGREEMENT KAISER FOUNDATION HOSPITALS Q 348699588 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN OF COLORADO Q 108243 PER AGREEMENT LOKAHI ASSURANCE LTD Q 8222217 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC R 137859864 PER AGREEMENT KAISER FOUNDATION HOSPITALS R 1942424637 PER AGREEMENT KAISER FOUNDATION HEALTH PLAN INC S 193527710 PER AGREEMENT KAISER FOUNDATION HOSPITALS S 724857227 PER AGREEMENT LOKAHI ASSURANCE LTD S 577600 PER AGREEMENT